Individual
ERIC O'BANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01046954
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200127750
—
IN
01
—
P01270966
RR MEDICARE
IN
Enumeration date
09/15/2005
Last updated
11/27/2023
Update your record
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